Employer
Diaz Stone And Pallet, Inc.
7686 State Route 167, Kingsley, PA 18826 · EIN 20-0514441 · Apr 1, 2024 to Mar 31, 2025
Plan year 2024
View
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $16,410
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 97 | Comp not disclosed Premium $53,155 |
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 74 | Comp not disclosed Premium $163,590 |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 85 | Schedule A not provided |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 85 | Schedule A not provided |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
Visible subtotal $65,167
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $16,891 | $156.40 |
| Cummings Insurance Agency | Broker | $13,416 | $124.22 |
| Homestead Smart Health Plans | Admin | $28,940 | $267.96 |
| Connectcare 3 | Patient Advocate | $5,920 | $54.81 |